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Covenant Community Care
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Grace Community Church COMPLETED

Description

Covenant Community Care, Inc. is a faith-based charitable non-profit Health Center serving the people of Metro Detroit. As a Federally Qualified Health Center, we offer integrated medical, dental and behavioral health care to all comers, regardless of their ability to pay. The original vision for Covenant Community Care, a faith-based primary care health clinic hoping to serve the uninsured and underserved community in Southwest Detroit, was communicated from Kathleen Kleinert, DO in the summer of 1999. The first building site was obtained in 2002 (559 W. Grand Blvd.) and after significant renovation, first opened its doors in the summer of 2003. In 2007, Covenant Community Care was granted status as a Federally Qualified Health Center, while being allowed to maintain its faith-based identity.

 

This new Health Center will be located at 20901 Moross Road, on the corner of Moross and I-94, to serve the lower eastside Detroit community. The proposed Health Center is approximately 6,100 square feet and will provide an integrated continuum of care. Primary medical, dental, behavioral health care, and pharmacy services will be provided on-site. Members of Grace Community Church who are physician specialists, as well as the St. John’s Physicians Who Care Network (a specialty group which provides free care to uninsured patients) will provide a strong foundation of specialty care providers to serve the needs of patients. The proposed clinic will have nine exam rooms and six dental chairs.

  • Location:  20901 Moross Road, Detroit, MI 48236
  • Contact:  Paul Propson, Executive Director | 313.228.0216
  • Project Cost: $1.1 million
  • Size: 6,100 sq. ft.; 1 floor
  • Expected Service Start Date: Care began in modular units October 3, 2012; construction to be completed May 2014

Meeting Community Need, Increasing Access, Expanding Services

Within Covenant’s target areas, most of the census tracts are also designated as primary medical care, mental health and dental Health Professional shortage Areas (HPSAs). Over 32% (250,000 persons) of City residents are Medicaid recipients, almost four times greater than the State rate (9%). The City has lost two-thirds of its primary care providers and continues to lose more of these providers. Twenty primary care clinics have closed since 2005; four hospitals have been shuttered. Detroit has no public hospital. Few non-institutional providers accept the uninsured, underinsured and Medicaid recipients. Individuals typically access institutional providers and often for non-acute care by means of the emergency room (and, unfortunately, via 9-1-1 and EMS ambulance). The location of the Health Center is in a freestanding building ideal to capture patient traffic patterns, and it is ideal in terms of proximity to St. John Hospital, both for care services, and for emergency room diversion.

Special Populations

The overall age adjusted death rate of City residents is nearly 40% percent higher than the State of Michigan, including death rates for heart disease and kidney disease more than 50% above the State rate, and a cancer death rate nearly 20% higher. t least 20,835 individuals in this service area live at or below 100% of the Federal Poverty Level (FPL). An additional 18,475 live at 100-199% of poverty, for a total of 39,310 individuals at or below 200% FPL. This represents 50.9% of the total population. In the target service area:

  • The hospital admission rate for hypertension is 160 per 100,000, compared to a national benchmark of 50.2 per 100,000 and a severe benchmark of 99.5 per hundred thousand
  • 2008 age-adjusted estimates of the percentage of adults with diagnosed diabetes shows Wayne County Michigan at 11.7% compared to the national benchmark of 6.5% and the severe benchmark of 7.8%
  • The service area pediatric asthma hospitalization rate per 10,000 by race is 62.3 for Blacks and 14.9 for Whites
  • 2007-2009 Behavior Risk Survey estimated that the proportion of adults reporting diagnosis of high blood pressure for the City of Detroit is 38.2%
  • Births to teenage mothers aged 15-19 years is 12.5% of births in the service area compared to 6.3% as a national benchmark and 9.2% is a severe benchmark
  • The average low birth weight rate from 1998-2008 for City of Detroit is 132.4 per 1000 which equates to 13.2%
  • The infant mortality rate is 15.0 per 1000 live births, compared to a national benchmark of 6.9 and the severe benchmark of 9.1 deaths
  • Overall, the age-adjusted death rate is 1018.7 per 100,000 population compared to 870 as the severe benchmark

Improving Outcomes

Specific Clinical Performance Measures (by the end of two years of clinic operation) include but are not limited to:

  • 65% of Type 1 and 2 diabetic patients will have HbA1c<9.1%• 65% of adult patients 18 years old and older will have a most recent blood pressure of less than 140/90
  • Percentage of women aged 21-64 years who received one or more Pap tests during the measurement year or during the two years prior to the measurement year will be 80%
  • 70% of patients enter prenatal care in the first trimester
  • 9.5% of babies will have low birth weight
  • There will be an increase percent of children by 2 years of age with appropriate immunizations to 72%
  • There will be an increase in the percent of primary care patients screened for behavioral health interventions to 75%
  • 75% of children from 2-18 years of age will have had a dental exam in the past 12 months, seen in any department
  • 10% of individuals accessing care at Capuchin Soup Kitchen annually receive care from Covenant providers

Program Innovation / Model of Delivery

The service delivery model is that of patient-centered primary care medical home with the following services:

  • Comprehensive primary health care for people of all ages, incorporating complete health and risk assessments, and screening for all warranted potential medical problems, to achieve primary and secondary disease prevention. In addition, acute care services are offered on site and through a 24 hour answering service
  • Mental health care services offered on-site in collaboration with Grace Counseling Center, including brief interventions to address mild and moderately intense concerns, as well as individual, marriage and family counseling
  • Comprehensive dental care on-site, including screenings, preventive, restorative and emergency care
  • Comprehensive obstetrical and gynecologic care on-site, which includes access to prenatal services, referral for high risk pregnancies, family planning, treatment and screening for gynecologic malignancies (including colposcopy)
  • Comprehensive Case Management
  • Specialty, diagnostic and ancillary referral networks

Community Collaboration / Service Integration

The collaborative partnership of St. John Hospital, Grace Community Church, and Covenant provides a rich network of resources that can have exponential impact as a result of being leveraged and combined to meet the needs of this community. Grace’s long-term presence and involvement in the community provide the credibility and a natural point of connection with the needs of the community. St. John’s strong interest in and commitment to optimizing care provided through the use of the patient-centered primary care medical home model is also a significant asset for this initiative. In the interest of reducing emergency room utilization for non-emergency services, St. John is committed to fostering and supporting the development of this Health Center that will literally be located "on the way” to the emergency room for the persons in the Covenant service area.

 

Serving the homeless will also be a primary focus of this Health Center. By establishing relationships with organizations such as Capuchin Soup Kitchen, Conner Soup Kitchen, Crossroads, St. Aloysius and the Homeless Action Network of Detroit (HAND), the Health Center will provide primary medical care services for the homeless. An additional key element of the Covenant continuum of care to meet the needs of the homeless in the area of substance abuse is a relationship with the Salvation Army, which is the largest provider in Southeast Michigan of both outpatient and inpatient substance-abuse services. A memorandum of agreement between Covenant and the Salvation Army establishes ways in which Covenant will provide medical and dental services for Salvation Army clients, as the Salvation Army provides substance abuse services for Covenant patients. Another outreach into the community involves collaboration with Eagle Sports, an established sports outreach ministry that has been serving youth of the community for 12 years. Approximately 2,000 children, ages 4-14 years, participate in various sports leagues throughout the year, with a goal of providing children who might otherwise not have the opportunity.

 

Innovation in Design

Energy efficient heating and cooling systems will be installed and when cost effective green materials (construction and equipment) will be used.

Impact on Social Determinants of Health

Service to Homeless Citywide in Detroit, more than 13,000 people are sleeping in emergency shelters, transitional housing, under bridges, in abandoned buildings, in cars and on the streets. According to the Center for Population Health in Detroit, an estimated 1,706 homeless can be found in this service area. Citywide in Detroit, more than 13,000 people are sleeping in emergency shelters, transitional housing, under bridges, in abandoned buildings, in cars and on the streets. Homelessness exacerbates chronic illnesses and increases medical problems. Lack of housing and poverty are significant determinant of health. At the new Health Center, we expect that 10% of individuals accessing care at Capuchin Soup Kitchen annually receive care from Covenant providers for medical, dental and mental health services. With the strong collaborative partnership with the local homeless agencies and shelters, we will be able to provide a barrier-free access to high quality care.

 

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